Provider Demographics
NPI:1336158039
Name:CHABAY, CYNTHIA LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:LYNN
Last Name:CHABAY
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1626 MONTANA AVE
Mailing Address - Street 2:#153
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403
Mailing Address - Country:US
Mailing Address - Phone:310-275-0101
Mailing Address - Fax:310-275-5574
Practice Address - Street 1:11601 WILLSHIRE BLVD.
Practice Address - Street 2:SUITE 500
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025
Practice Address - Country:US
Practice Address - Phone:310-275-0101
Practice Address - Fax:310-275-5574
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2018-06-22
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Provider Licenses
StateLicense IDTaxonomies
CAG506902084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A92998Medicare UPIN